Infertility Update
(Dr Kaberi
Banerjee, IVF Expert, New Delhi
Most
infertile women who choose to attempt pregnancy by IVF require fertility drugs,
also called "ovulation induction" medications, to stimulate their
ovaries to produce one or more eggs. Possible side effects of the drugs
include:
•
Mild bruising and soreness at the injection site. Using different sites for the
injections can help.
•
Allergic reaction, gastrointestinal distress, headache, or mood changes. Make
sure you tell your doctor and nurse if you experience any bad reaction to these
medications.
•
Ovarian hyperstimulation syndrome (OHSS). This is a condition in which the
ovaries produce many follicles (fluid-filled sacs each containing an egg) and
become much larger than usual. OHSS is a potential complication from almost any
fertility drug. Usually, it is mild and improves without treatment. However, in
severe cases, OHSS can result in very enlarged ovaries, dehydration, fatigue,
and the collection of large amounts of fluid in the abdomen and lungs. The risk
of severe OHSS can be made very low by:
(1) lowering the dosage of fertility drugs to reduce the ovarian
response; (2) withholding the human chorionic gonadotropin (hCG) used to
trigger ovulation and canceling the cycle; or (3) proceeding with the egg
retrieval, but freezing all embryos for a later cycle.
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